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ICD-10 Guide
ICD-10 CodesG57.01

G57.01

Billable

Lesion of sciatic nerve, right lower limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G57.01 is a billable code used to indicate a diagnosis of lesion of sciatic nerve, right lower limb.

Key Diagnostic Point:

A lesion of the sciatic nerve in the right lower limb refers to damage or injury to the sciatic nerve, which is the largest nerve in the human body. It originates from the lumbar and sacral plexus and runs from the lower back down to the legs. This condition can result from various causes, including trauma, compression, or systemic diseases such as diabetes. Symptoms may include pain, numbness, tingling, or weakness in the right leg, particularly in the posterior thigh, calf, and foot. Diagnosis typically involves a thorough clinical examination, patient history, and may include imaging studies or nerve conduction studies to assess the extent of nerve damage. Treatment options vary based on the underlying cause and may include physical therapy, medications for pain relief, or surgical intervention in severe cases. Accurate coding is essential for proper reimbursement and to reflect the patient's condition in medical records.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of nerve lesions (e.g., traumatic vs. compressive)
  • Understanding the anatomical location and implications of the lesion
  • Documenting associated symptoms and their severity
  • Identifying the underlying cause of the nerve lesion

Audit Risk Factors

  • Inadequate documentation of the lesion's cause
  • Failure to specify the laterality of the condition
  • Misclassification of the type of nerve injury
  • Lack of supporting diagnostic tests in the medical record

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor assessments.

Common Clinical Scenarios

Patients presenting with unilateral leg pain, weakness, or sensory deficits.

Billing Considerations

Ensure documentation includes the specific location of symptoms and any diagnostic imaging results.

Orthopedics

Documentation Requirements

Surgical notes if applicable, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Patients with sciatic nerve entrapment due to herniated discs or pelvic fractures.

Billing Considerations

Document any surgical interventions or conservative management strategies employed.

Coding Guidelines

Inclusion Criteria

Use G57.01 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lesion's location and cause
  • Include any relevant diagnostic tests and patient history to support the diagnosis

Exclusion Criteria

Do NOT use G57.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95870CPT Code

Nerve conduction studies

Clinical Scenario

Used to evaluate the function of the sciatic nerve in patients with suspected lesions.

Documentation Requirements

Document the specific nerves tested and the results of the studies.

Specialty Considerations

Neurologists should ensure that the rationale for testing is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nerve lesions, improving the accuracy of patient records and reimbursement processes. G57.01 provides a clear indication of the affected nerve and its location, which is crucial for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nerve lesions, improving the accuracy of patient records and reimbursement processes. G57.01 provides a clear indication of the affected nerve and its location, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. G57.01 provides a clear indication of the affected nerve and its location, which is crucial for treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of a sciatic nerve lesion?

Common causes include trauma, herniated discs, tumors, and systemic conditions such as diabetes that can lead to nerve damage.